Individual provider Active NPI

Heidi Tornberg, D.C.

  • Chiropractor
  • Newberg, OR
National Provider Identifier
1386843159
Registry record updated Sep 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3752 Issued in OR
Practice address
700 Deborah Rd
Suite 270
Newberg, OR 97132-2198
Phone
(503) 538-5433
Fax
(503) 537-5153
NPI assigned
Jul 12, 2007
Last updated
Sep 20, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3752 OR Primary

Addresses

Primary practice location

700 Deborah Rd
Suite 270
Newberg, OR 97132-2198

Mailing address

700 Deborah Rd
Suite 270
Newberg, OR 97132-2198
Phone (503) 538-5433

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120612000143 OR Practitioner - Chiropractic 7517048226 Reassigns benefits to 1 organization
Practice locations: Newberg, OR

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Western States College of Chiropractic, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Health Center, LLCGroup PAC ID 1052508660, 4 clinicians

Practice addresses (Care Compare)

317 N Molalla Ave
Molalla, OR 97038-8840
Phone (503) 829-6176

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3752ORMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Health Center, LLC Chiropractor CurrentSince Aug 15, 2021 Accepting new patients
Larry D Jensen DPM PC PastSince Jan 13, 2012 Accepting new patients
Weingard Wellness LLC Past Accepting new patients
Cascade Living LLC Chiropractor PastSince Apr 6, 2006 Accepting new patients

Locations

130 SW 2nd Ave
Ste 101
Canby, OR 97013
Phone (503) 263-2347

317 N Molalla Ave
Molalla, OR 97038
Phone (503) 829-6176

317 N Molalla Ave
Ste 289
Molalla, OR 97038

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1184198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1474329600000",
    "number": "1386843159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 DEBORAH RD",
            "address_2": "SUITE 270",
            "city": "NEWBERG",
            "state": "OR",
            "postal_code": "971322198",
            "telephone_number": "503-538-5433",
            "fax_number": "503-537-5153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 DEBORAH RD",
            "address_2": "SUITE 270",
            "city": "NEWBERG",
            "state": "OR",
            "postal_code": "971322198",
            "telephone_number": "503-538-5433",
            "fax_number": "503-537-5153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TORNBERG",
        "first_name": "HEIDI",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-12",
        "last_updated": "2016-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "3752",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newberg, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.